This dish is Malta’s answer to pasta pie. It is most likely Sicilian in origin, given the proximity of the two Mediterranean islands, however countless regional versions exist in Italy, where it is known as timballo. The basis for this home-style pie is macaroni, penne or other tubular-shaped pasta tossed in a stew made from several different meats, including beef and offal, then encased in puff pastry for an extra-hearty bake.